Happy New Year

Loutradis Dimitris

HAPPY New Year and welcome to 2019! HJOG remains vigorous and strong, with many efforts on the way to Scopus and Pubmed. As a President of HSOG, I would like to thank all of you, for your continuous support and contributions through the past years. You have made a significant impact on HJOG and brought it to a new level…

Posted in 2019 Volume 18 – Issue 1

Metformin in the treatment of gestational diabetes mellitus: is it safe and efficient?

Argirios Rountis, Kalliopi Pappa

 

 

Gestational diabetes mellitus (GDM) typically occurs when maternal glucose metabolism fails to compensate for the gradually increasing insulin resistance which mainly derives from the indigenous production of diabetogenic placental hormones during pregnancy. With its rising prevalence nowadays, GDM constitutes one of the most serious health problems in pregnant women that may result in both maternal and neonatal adverse outcomes…

Posted in 2019 Volume 18 – Issue 1 Tagged , , ,

The management of the macrosomic fetus and the assessment of wellbeing in gestational diabetes mellitus

Anastasios Pandraklakis, Kalliopi Pappa

 

 

Diabetes mellitus(DM) in pregnancy is associated with an increased risk of fetal, neonatal, and offspring complications, as well as with long term complications in adulthood. DM may be pregestational (ie, type 1 or 2 diabetes diagnosed before pregnancy with a prevalence 1.8%) or gestational (ie, diabetes diagnosed during pregnancy with a prevalence 7.5%). The outcome mainly is related to the onset and duration of glucose intolerance during pregnancy and the severity of DM …

Posted in 2019 Volume 18 – Issue 1 Tagged , , , , , , , , , ,

Diabetic ketoacidosis in pregnancy

Christos Kalantzis, Kalliopi Pappa

 

 

Diabetic ketoacidosis in pregnancy is a rare but potential life-threatening condition for the mother and the fetus. Although predictably DKP is more common in patients with type 1 diabetes, it has been reported too in those with type 2 diabetes as well as gestational diabetes. Diabetic ketoacidosis usually occurs in the second and third trimesters because of insulin resistance. Prompt recognition and aggressive treatment …

Posted in 2019 Volume 18 – Issue 1 Tagged , , , ,

Obesity in pregnancy and gestational diabetes

Olga Triantafyllou, Kalliopi Pappa

 

 
Obesity is widely regarded as a major global pandemic that has extensive complications. Obesity rates have increased dramatically which can significantly lead to both maternal and fetal health complications during pregnancy. Obese women are predisposed to pregnancy complications such as gestational diabetes mellitus (GDM). Both share common metabolic characteristics. Obesity and gestational diabetes are both related to serious problems during pregnancy, but also to long term maternal – fetal consequences…

Posted in 2019 Volume 18 – Issue 1 Tagged , , ,

Refugees and Health Management in Greece

Loutradis Dimitris

The high refugee migration in Greece and the rising problems which derive from this continuous influx have been met with complete disregard by both the media and the government. As one would expect, in addition to host inadequacy, the country has to deal with a second critical and complex issue, the health management. The vulnerability, marginalization and poverty, as well as the high stress of displacement that refugees experience …

Posted in 2018 Volume 17 – Issue 4

Understanding the Rare Krukenberg Tumor: A Current Review

Emmanouil Charakopoulos, Nikolaos Thomakos, Dafni Sourelli, Konstantinos Sideris, Alexandros Rodolakis

Krukenberg tumors represent a rare type of secondary ovarian tumors composed of mucinous signetring cells. In up to 70% of cases the primary site is a diffuse type gastric carcinoma, which disseminates to the ovary through a retrograde lymphatic pathway. The Krukenberg tumor is a good example of metastatic ovarian organotropism (“seed and soil” hypothesis).The symptoms are nonspecific …

Posted in 2018 Volume 17 – Issue 4 Tagged , , , ,

Evaluation of in vitro fertilization outcomes using the FMR1 CGG repeat level and genotypes as a potential marker

Charalampos Theofanakis, Eleni Theochari, Depy Mavrogianni, Christianna Sofokleous, Peter Drakakis, Andreas Pampanos, Sofia Kitsiou-Tzeli, Dimitrios Loutradis

Introduction: The correlation between FMR1 and ovarian function is a relatively new field of research. It has been stated that premutation carriers present with higher rates of premature ovarian failure, compared to the general population. In the present study, we attempted to correlate the distribution of FMR1 CGG level and genotypes with the outcome of in vitro fertilization protocol between good and poor responders …

Posted in 2018 Volume 17 – Issue 4 Tagged , , ,

Optimum time interval for intertwin delivery for extreme prematurity in DCDA twin pregnancy. A case report and a literature review

Prabha Sinha, Olakanmi Joseph, Aoun Hakmi

Due to increased use of ART delayed twin interval delivery has become a common occurrence. Multiple pregnancy is associated with high incidence of premature labour. Prematurity is the leading cause of neonatal morbidity and mortality all over the world as premature babies are at a greater risk of dying andhas other health issues. Delivery of the presenting fetus usually followed by delivery …

Posted in 2018 Volume 17 – Issue 4 Tagged , , , ,

Ectopic Pregnancy at 13-week Period of Gestation with Live Fetus

Konstantinos Zacharis, Stavros Kravvaritis, Theodoros Charitos, Anastasia Fouka

Ectopic pregnancy will unavoidably result in abortion or rupture. Ultrasound examination and β-hcg measurement are required, regarding symptomatic women with positive pregnancy test, in order to early detect cases of ectopic pregnancy. Here we report a case of a woman presented to the emergency depart- ment with acute abdomen and hemodynamic instability. History revealed a period of amenorrhea of 13 weeks and pregnancy test was found positive …

Posted in 2018 Volume 17 – Issue 4 Tagged , , , ,

Female genital malformations in ESHRE future

Loutradis Dimitris

The female genital malformations, that are frequent but not always detected, constitute a genuine barrier in fertilization and at the same time a cause of verbal confusion in medical understanding. Up until now, the systems that have been proposed for their classification are the American Fertility Society (AFS), the American Society of Reproductive Medicine (AFS, 1988) and the Vagina, Cervix, …

Posted in 2018 Volume 17 – Issue 3

Sentinel lymph node biopsy. A prospective medical advance to substitute the pelvic lymphadenectomyin early cervical cancer. A reappraisal

Anastasios Pandraklakis, Nikolaos Thomakos, Ioannis Thanopoulos, Dimitrios Vlachos, Maria D. Oikonomou, Dimitrios Chaidopoulos, Alexandros Rodolakis

Cervical cancer is the fourth most common malignancy in the female population and was the ninth cause of deaths in the female population in 2016. According to the American Cancer Society, 13240 new cases of cervical cancer will be diagnosed in the USA in the year 2018, while 4170 women will die from the disease. Unfortunately,40% of them concern women younger than 45 years old in their reproductive age…

Posted in 2018 Volume 17 – Issue 3 Tagged , , , , , , ,

Classification and diagnosis of congenital malformations of the female genital tract according to ESHRE/ESGE

Anastasios Makedos, Grigoris Grimbizis

Congenital malformations of the female genital tract affect 4-7% of the female population. They are mainly detected at reproductive age during the investigation for infertility. Accurate classification is vital for the effective management. In need of a more detailed description of these anomalies, clinical usefulness and simplicity ESHRE and ESGE introduced in 2013 the new classification system and further in 2016…

Posted in 2018 Volume 17 – Issue 3 Tagged , , ,

Management of low and high grade squamous intraepithelial lesions during pregnancy

Panagakis G., Theofanakis H, Pappa K, Loutradis D.

Despite significant advances regarding screening and treatment of cervical dysplasia, cervical cancer in fertile age is becoming more and more common in the last two decades. Cervical cancer screening ideally detects preinvasive lesions that can be eradicated or early stage cervical cancer that can be successfully treated. Cervical cancer screening was previously limited to cervical cytology. However, during the past decade…

Posted in 2018 Volume 17 – Issue 3 Tagged , , ,

Assessment of performance of midwives and pediatricians in preparation for receiving a neonate immediately after birth. A prospective observational study.

Lambros Mpoltsis, Emmanuel Stamatakis, Theodoros Xanthos, Nicoletta Iacovidou, Athanasios Chalkias, Evangelia Kouskouni, Demetrios Valsamidis

Background. The 2015 European Resuscitation Council (ERC) Guidelines for Resuscitation and support of transition of babies at birth stress the importance of adequate preparation by the healthcare professionals who are going to receive the newborn immediately after birth in order to avoid preventable neonate deterioration. Midwives and pediatricians are the healthcare professionals in the frontline of neonate reception…

Posted in 2018 Volume 17 – Issue 3 Tagged , , , ,